PubMed · 13533931
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M DE CARDENAS. [Mesenteric embolism].. https://pubmed.ncbi.nlm.nih.gov/13533931/
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The acute abdomen in the newborn provides challenging problems from many aspects, not only with regard to diagnosis, resuscitation and treatment, but also now with prenatal management. Most conditions are uncommon and treatment in specialist centres enables concentration of appropriate resources and expertise. Co-morbidity is common, particularly in the preterm or low birth weight infant. A multi-disciplinary team of surgeons, anaesthetists, neonatologists, radiologists, cardiologists, obstetricians, nurses, physiotherapists and other health professionals experienced in dealing with extremely small infants will provide the best outcome. The infant should be resuscitated and, as soon as conditions permit, transferred to a specialist surgical centre with intravenous fluids, gastric tube drainage and circulatory, respiratory and general support as needed. This involves close liaison within healthcare networks and readily available patient transfer facilities. Surgery itself should be carried out in a theatre fully equipped for neonatal surgery. A gentle touch is essential because of the fragility of the tissues, and painstaking care should be taken with blood loss.
INTRODUCTION: Heterotopic pregnancy is the rare coexistence of intrauterine and extrauterine gestation. The incidence may be as high as 1 in 3,889 pregnancies. The diagnosis is difficult to make, but an important one to consider in the presence of acute abdominal pain, hemorrhagic shock, and intrauterine pregnancy. METHODS: Case report. RESULTS: Successful treatment of ectopic pregnancy with benign convalescence and viable intrauterine pregnancy delivered at term. CONCLUSIONS: Every clinician treating women of reproductive age should keep this diagnosis in their differential, especially for pregnant women presenting with abdominal pain and hemoperitoneum.
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